Therapists in 60914

Photo of Rhonda Leigh Smarjesse, Licensed Professional Counselor, MA, LPC
Rhonda Leigh Smarjesse
Licensed Professional Counselor, MA, LPC
Bourbonnais, IL 60914
Over the past 8 years of providing mental health counseling to clients I have found incorporation of Christian principles into my counseling practice can provide clients with a sense of direction and hope. Drawing from the wisdom of Jesus Christ, we all can learn and grow as we work toward better version of ourselves. As a Christian counselor I will work with clients to help them draw closer to Jesus Christ and to learn how Jesus' teachings can help guide clients through their struggles and concerns. Always remember, Jesus is the way, the truth and the light and this can bring us hope.
Over the past 8 years of providing mental health counseling to clients I have found incorporation of Christian principles into my counseling practice can provide clients with a sense of direction and hope. Drawing from the wisdom of Jesus Christ, we all can learn and grow as we work toward better version of ourselves. As a Christian counselor I will work with clients to help them draw closer to Jesus Christ and to learn how Jesus' teachings can help guide clients through their struggles and concerns. Always remember, Jesus is the way, the truth and the light and this can bring us hope.
(815) 281-5676 View (815) 281-5676
Photo of Benjamin Meils, Licensed Clinical Professional Counselor, MA, LCPC
Benjamin Meils
Licensed Clinical Professional Counselor, MA, LCPC
Bourbonnais, IL 60914
Armed with a Master's in Clinical Mental Health Counseling, Ben's therapeutic approach is person-centered, unconditionally accepting, and nonjudgmental. This foundation sets the stage for addressing a myriad of concerns, from anxiety and depression to trauma, addiction, low self-esteem, and relationship difficulties. Ben's commitment to casting a wide net enables him to meet each client with tailored strategies for their unique challenges. With a specialized focus on alcohol and drug use disorders, Ben provides compassionate support to individuals navigating the complex terrain of addiction recovery.
Armed with a Master's in Clinical Mental Health Counseling, Ben's therapeutic approach is person-centered, unconditionally accepting, and nonjudgmental. This foundation sets the stage for addressing a myriad of concerns, from anxiety and depression to trauma, addiction, low self-esteem, and relationship difficulties. Ben's commitment to casting a wide net enables him to meet each client with tailored strategies for their unique challenges. With a specialized focus on alcohol and drug use disorders, Ben provides compassionate support to individuals navigating the complex terrain of addiction recovery.
(815) 706-2343 View (815) 706-2343
Photo of Heather Nicole LaFond, Licensed Professional Counselor, LPC, CRFC, MA, CMHC
Heather Nicole LaFond
Licensed Professional Counselor, LPC, CRFC, MA, CMHC
Bourbonnais, IL 60914
I am a Licensed Professional Counselor, and have worked in may different settings. Throughout my career, I have worked inpatient, outpatient including intensive outpatient and partial hospitalization programs, and now private practice, with many different types of people. Today, the world has started to be a slightly more difficult place to navigate and we feel like there are a lot of things out of our control, but we can control what we do to better ourselves. I want to be here to help you achieve an even better you.
I am a Licensed Professional Counselor, and have worked in may different settings. Throughout my career, I have worked inpatient, outpatient including intensive outpatient and partial hospitalization programs, and now private practice, with many different types of people. Today, the world has started to be a slightly more difficult place to navigate and we feel like there are a lot of things out of our control, but we can control what we do to better ourselves. I want to be here to help you achieve an even better you.
(815) 859-9874 View (815) 859-9874
Photo of Melanie Mccummiskey, Licensed Professional Counselor, LPC, NCC, MS
Melanie Mccummiskey
Licensed Professional Counselor, LPC, NCC, MS
1 Endorsed
Bourbonnais, IL 60914
I specialize in working with clients who are dealing with symptoms or emotional responses that are interfering with their day to day lives. I am well-equipped to guide clients who have experienced complex trauma and those struggling with mood, and personality disorders as well as moderate to severe anxiety. I work with a lot of veterans and first responders, as well as those who experienced forms of childhood abuse and neglect. I offer both EMDR and brainspotting
I specialize in working with clients who are dealing with symptoms or emotional responses that are interfering with their day to day lives. I am well-equipped to guide clients who have experienced complex trauma and those struggling with mood, and personality disorders as well as moderate to severe anxiety. I work with a lot of veterans and first responders, as well as those who experienced forms of childhood abuse and neglect. I offer both EMDR and brainspotting
(815) 783-2866 View (815) 783-2866
Photo of William Lacy Jr, Marriage & Family Therapist, MAMFT, LMFT
William Lacy Jr
Marriage & Family Therapist, MAMFT, LMFT
Bourbonnais, IL 60914
Being raised in a family with thirteen siblings, I learned early how to see things from multiple viewpoints. Also, I've learned that it was okay to have different viewpoints and not be wrong, because it was that person's opinion or belief. I became interested in couples and families, because I've learned that there's a difference between being in a relationship and "just" being together with a person or persons. Although it's a human need to want to be in a relationship, it's also a personal responsibility to learn how to be relationship material.
Being raised in a family with thirteen siblings, I learned early how to see things from multiple viewpoints. Also, I've learned that it was okay to have different viewpoints and not be wrong, because it was that person's opinion or belief. I became interested in couples and families, because I've learned that there's a difference between being in a relationship and "just" being together with a person or persons. Although it's a human need to want to be in a relationship, it's also a personal responsibility to learn how to be relationship material.
(815) 916-5109 View (815) 916-5109
Photo of Kristina Billadeau, Licensed Professional Counselor, LPC, NCC
Kristina Billadeau
Licensed Professional Counselor, LPC, NCC
3 Endorsed
Bourbonnais, IL 60914
Welcome. I am so glad you have decided to take the first step to becoming the healthiest, most authentic version of yourself! Life can feel like it's kicking your ass sometimes. Maybe you wonder why things feel so out of control. We can all use some help to dig through the chaos! My goal is to offer a safe, collaborative, and judgement free space where you feel supported as you work through what drags you down. Whether you are struggling with anxiety, depression, feelings of losing yourself, relationships, or simply want to make sure you are showing up for yourself and your people, I would love to assist you on this healing journey.
Welcome. I am so glad you have decided to take the first step to becoming the healthiest, most authentic version of yourself! Life can feel like it's kicking your ass sometimes. Maybe you wonder why things feel so out of control. We can all use some help to dig through the chaos! My goal is to offer a safe, collaborative, and judgement free space where you feel supported as you work through what drags you down. Whether you are struggling with anxiety, depression, feelings of losing yourself, relationships, or simply want to make sure you are showing up for yourself and your people, I would love to assist you on this healing journey.
(815) 591-5475 View (815) 591-5475
Photo of John Robert Stearns, Clinical Social Work/Therapist, LSW
John Robert Stearns
Clinical Social Work/Therapist, LSW
1 Endorsed
Bourbonnais, IL 60914
I enjoy working with people to address their own concerns, and sometimes that means talking with them to simply figure out what their concerns are. I love working with people who want to better understand themselves, change something in their life, or simply process tough emotions in a safe space.
I enjoy working with people to address their own concerns, and sometimes that means talking with them to simply figure out what their concerns are. I love working with people who want to better understand themselves, change something in their life, or simply process tough emotions in a safe space.
(815) 662-0828 View (815) 662-0828
Photo of Michelle Flores, Counselor, MA, LCPC, NCC
Michelle Flores
Counselor, MA, LCPC, NCC
1 Endorsed
Bourbonnais, IL 60914
Hello, my name is Michelle Flores and I am a Licensed Clinical Professional Counselor in Illinois. I have a Masters degree in Human Development Counseling from the University of Illinois. I guide clients toward meaningful change and emotional well-being. I offer my clients the space to feel comfortable while being vulnerable. I believe that everyone desires to feel happy and healthy.
Hello, my name is Michelle Flores and I am a Licensed Clinical Professional Counselor in Illinois. I have a Masters degree in Human Development Counseling from the University of Illinois. I guide clients toward meaningful change and emotional well-being. I offer my clients the space to feel comfortable while being vulnerable. I believe that everyone desires to feel happy and healthy.
(815) 393-5493 View (815) 393-5493
Photo of Diane Barber, Counselor, LCPC
Diane Barber
Counselor, LCPC
Bourbonnais, IL 60914
Hello and welcome. Thank you for taking time to visit my professional profile. My name is Diane and I am a Licensed Clinical Professional Counselor. I have been blessed with a 30 year career which has allowed me to work in adult mental health, adult residential settings, public education as a School Counselor, intensive outpatient group therapy and now ultimately to private practice. If you've found yourself here you have decided to take a step to learn, grow, heal and become the best version of yourself. I welcome the opportunity to work with you towards that goal- you deserve it!
Hello and welcome. Thank you for taking time to visit my professional profile. My name is Diane and I am a Licensed Clinical Professional Counselor. I have been blessed with a 30 year career which has allowed me to work in adult mental health, adult residential settings, public education as a School Counselor, intensive outpatient group therapy and now ultimately to private practice. If you've found yourself here you have decided to take a step to learn, grow, heal and become the best version of yourself. I welcome the opportunity to work with you towards that goal- you deserve it!
(815) 900-5052 View (815) 900-5052
Photo of Dexter Odeneal, Clinical Social Work/Therapist, LSW
Dexter Odeneal
Clinical Social Work/Therapist, LSW
Bourbonnais, IL 60914
You might be the kind of person who looks like you’re holding it together on the outside, but inside you feel anxious, overwhelmed, or stuck in patterns you don’t fully understand. Maybe you’re tired of overthinking, people-pleasing, or carrying old emotional weight into your relationships. You want relief, clarity, and a sense of calm but you also want to feel truly understood, not “fixed” or judged. What makes my work different is I help clients develop self-leadership to help individuals build awareness, trust, and agency within themselves so you can intentionally guide their thoughts, and emotions.
You might be the kind of person who looks like you’re holding it together on the outside, but inside you feel anxious, overwhelmed, or stuck in patterns you don’t fully understand. Maybe you’re tired of overthinking, people-pleasing, or carrying old emotional weight into your relationships. You want relief, clarity, and a sense of calm but you also want to feel truly understood, not “fixed” or judged. What makes my work different is I help clients develop self-leadership to help individuals build awareness, trust, and agency within themselves so you can intentionally guide their thoughts, and emotions.
(815) 475-2796 View (815) 475-2796
Photo of Sarah Willis, Licensed Clinical Professional Counselor, MA, NCC, LCPC
Sarah Willis
Licensed Clinical Professional Counselor, MA, NCC, LCPC
Bourbonnais, IL 60914
Tired, anxious, depressed, and/or weary of the emotional load? Feel like something deep is going on inside you? The road to healing doesn’t have to be a solo journey. No matter what you have been through or are currently going through, know you are not alone. I have several years’ experience in working with anxiety, depression, medical issues, grief, and trauma. Together we will sort through your challenges in a safe and comfortable environment with a non-judgmental approach.
Tired, anxious, depressed, and/or weary of the emotional load? Feel like something deep is going on inside you? The road to healing doesn’t have to be a solo journey. No matter what you have been through or are currently going through, know you are not alone. I have several years’ experience in working with anxiety, depression, medical issues, grief, and trauma. Together we will sort through your challenges in a safe and comfortable environment with a non-judgmental approach.
(815) 889-0655 View (815) 889-0655
Photo of Alyssa Garcia, Clinical Social Work/Therapist, MSW, LCSW
Alyssa Garcia
Clinical Social Work/Therapist, MSW, LCSW
3 Endorsed
Bourbonnais, IL 60914
Do you ever reply with “I’m fine” or “Can’t complain” when, deep down, you’re anything but fine? Maybe you’ve been going through it—relationship struggles, depression, anxiety, or just feeling stuck in your friendships, motivation, or overall happiness. It’s overwhelming, and it can feel like you’re silently drowning, wishing someone would notice you're not okay. You're juggling family, work, friends, hobbies, and trying to stay healthy—but instead of feeling fulfilled, life’s starting to feel like a constant drain.
Do you ever reply with “I’m fine” or “Can’t complain” when, deep down, you’re anything but fine? Maybe you’ve been going through it—relationship struggles, depression, anxiety, or just feeling stuck in your friendships, motivation, or overall happiness. It’s overwhelming, and it can feel like you’re silently drowning, wishing someone would notice you're not okay. You're juggling family, work, friends, hobbies, and trying to stay healthy—but instead of feeling fulfilled, life’s starting to feel like a constant drain.
(331) 244-0647 View (331) 244-0647
LifeStance Health
Counselor, LCPC
Bourbonnais, IL 60914
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(815) 551-2495 View (815) 551-2495
Photo of Nicole Roy, Licensed Professional Counselor, MA, LPC
Nicole Roy
Licensed Professional Counselor, MA, LPC
Bourbonnais, IL 60914
Nicole Roy graduated from Governors State University in 2013 with a Master's Degree in Community Counseling. She has spent time working in various settings including residential treatment and community counseling centers. Nicole uses a variety of treatment approaches tailored to meet the needs of her clients. She typically utilizes Cognitive Behavior Therapy but also includes aspects of Supportive Therapy and Solution Focused approaches. Nicole helps clients address a variety of concerns including anxiety, depression, trauma, and major life events.
Nicole Roy graduated from Governors State University in 2013 with a Master's Degree in Community Counseling. She has spent time working in various settings including residential treatment and community counseling centers. Nicole uses a variety of treatment approaches tailored to meet the needs of her clients. She typically utilizes Cognitive Behavior Therapy but also includes aspects of Supportive Therapy and Solution Focused approaches. Nicole helps clients address a variety of concerns including anxiety, depression, trauma, and major life events.
(815) 706-2807 View (815) 706-2807
Photo of Brooke Jensen, Licensed Professional Counselor, MA, LCPC, NCC
Brooke Jensen
Licensed Professional Counselor, MA, LCPC, NCC
Bourbonnais, IL 60914
Sometimes we all struggle with feeling overwhelmed, anxious, frustrated, disconnected or sad. These thoughts and feelings can negatively impact our lives and our relationships with our loved ones. I can help. I am a clinical mental health counselor with experience working with children, individuals, couples and families. In practice, I tailor my approach to meet each clients needs in a non-judgmental and supportive environment. Choosing a counselor you can trust and feel comfortable with is an important part of your therapeutic journey. I encourage clients to reach out with any questions or concerns you may have before scheduling.
Sometimes we all struggle with feeling overwhelmed, anxious, frustrated, disconnected or sad. These thoughts and feelings can negatively impact our lives and our relationships with our loved ones. I can help. I am a clinical mental health counselor with experience working with children, individuals, couples and families. In practice, I tailor my approach to meet each clients needs in a non-judgmental and supportive environment. Choosing a counselor you can trust and feel comfortable with is an important part of your therapeutic journey. I encourage clients to reach out with any questions or concerns you may have before scheduling.
(708) 787-8458 View (708) 787-8458
Photo of Janelle Bagley, Licensed Professional Counselor, MA, LCPC
Janelle Bagley
Licensed Professional Counselor, MA, LCPC
Bourbonnais, IL 60914
First, praise yourself for taking that step to seek help. That's half the battle, so you're already half way there! It isn't easy, asking for help, but you are doing it. I am a Licensed Clinical Professional Counselor. I have been dedicated to the field of mental health for nearly 20 years now. In my approach I work hard to create an environment that encourages trust and the ability to build a positive rapport. From that foundation blossoms our joint exploration where you will begin to feel empowered to allow personal growth and healing, as you actively engage in your roadmap to satisfaction.
First, praise yourself for taking that step to seek help. That's half the battle, so you're already half way there! It isn't easy, asking for help, but you are doing it. I am a Licensed Clinical Professional Counselor. I have been dedicated to the field of mental health for nearly 20 years now. In my approach I work hard to create an environment that encourages trust and the ability to build a positive rapport. From that foundation blossoms our joint exploration where you will begin to feel empowered to allow personal growth and healing, as you actively engage in your roadmap to satisfaction.
(815) 205-0453 View (815) 205-0453
Photo of Jared Coffman, Clinical Social Work/Therapist, MSW, LCSW
Jared Coffman
Clinical Social Work/Therapist, MSW, LCSW
Bourbonnais, IL 60914
What if your anxiety or depression didn’t stand in your way from accomplishing what you wanted anymore? What if your stress was more manageable and you were in more control over what kind of thoughts stuck around in your mind? What if you understood more about yourself and who you are? What if you were able to move beyond your trauma and no longer let it define you? What if you and your partner were able to regain some of that excitement you had when you first met? If you would like to know the answers to any of those questions, I would love to hear from you.
What if your anxiety or depression didn’t stand in your way from accomplishing what you wanted anymore? What if your stress was more manageable and you were in more control over what kind of thoughts stuck around in your mind? What if you understood more about yourself and who you are? What if you were able to move beyond your trauma and no longer let it define you? What if you and your partner were able to regain some of that excitement you had when you first met? If you would like to know the answers to any of those questions, I would love to hear from you.
(815) 240-0752 View (815) 240-0752
Photo of Jeanine A Mellish, Counselor, LCPC, NARM, Master, Ther
Jeanine A Mellish
Counselor, LCPC, NARM, Master, Ther
1 Endorsed
Bourbonnais, IL 60914
Jeanine Mellish supports adult clients and couples on the path of healing and integration. She began her study and practice of various forms of healing arts in 2014, including emotional, relational, and mental health healing. Jeanine specializes in the integration of complex (relational, developmental) trauma, primarily informed by the Neuro-Affective Relational Model (NARM) developed by Dr. Laurence Heller. She works in person or via video sessions as a Therapist at Jeanine A Mellish PLLC in Bourbonnais, Illinois.
Jeanine Mellish supports adult clients and couples on the path of healing and integration. She began her study and practice of various forms of healing arts in 2014, including emotional, relational, and mental health healing. Jeanine specializes in the integration of complex (relational, developmental) trauma, primarily informed by the Neuro-Affective Relational Model (NARM) developed by Dr. Laurence Heller. She works in person or via video sessions as a Therapist at Jeanine A Mellish PLLC in Bourbonnais, Illinois.
(779) 228-3105 View (779) 228-3105
Photo of Andrea Lareau, Clinical Social Work/Therapist, MSW, MT-BC
Andrea Lareau
Clinical Social Work/Therapist, MSW, MT-BC
2 Endorsed
Bourbonnais, IL 60914
Are you having a hard time facing the stresses of everyday life? Having difficulties at work, school, or in your marriage? Struggling with the state of the world? Maybe getting out of bed seems especially difficult because of depression, anxiety, or lack of motivation. I'm glad you're here and I'm ready to help! I enjoy helping my clients gain control, build their confidence and self-esteem, increase communication skills and better all of their relationships in their life.
Are you having a hard time facing the stresses of everyday life? Having difficulties at work, school, or in your marriage? Struggling with the state of the world? Maybe getting out of bed seems especially difficult because of depression, anxiety, or lack of motivation. I'm glad you're here and I'm ready to help! I enjoy helping my clients gain control, build their confidence and self-esteem, increase communication skills and better all of their relationships in their life.
(815) 934-8932 View (815) 934-8932
Photo of Chris DiGiovanni, Clinical Social Work/Therapist, MSW, LCSW, CADC
Chris DiGiovanni
Clinical Social Work/Therapist, MSW, LCSW, CADC
Bourbonnais, IL 60914
I offer both in-person and telehealth sessions for clients 12 and older. I work with people navigating challenges like anxiety, depression, bipolar disorder, PTSD, ADHD, and other mental health concerns, as well as relationship struggles, grief, addiction, life transitions, spirituality, and self-esteem. My approach is collaborative and down-to-earth, helping clients build healthy boundaries, foster emotional growth, and live with greater authenticity. Together, we’ll explore what’s been holding you back, strengthen your resilience, and create meaningful change that feels true to who you are.
I offer both in-person and telehealth sessions for clients 12 and older. I work with people navigating challenges like anxiety, depression, bipolar disorder, PTSD, ADHD, and other mental health concerns, as well as relationship struggles, grief, addiction, life transitions, spirituality, and self-esteem. My approach is collaborative and down-to-earth, helping clients build healthy boundaries, foster emotional growth, and live with greater authenticity. Together, we’ll explore what’s been holding you back, strengthen your resilience, and create meaningful change that feels true to who you are.
(815) 669-1784 View (815) 669-1784

See more therapy options for 60914

How does your Therapist compare?

Number of Therapists in 60914

70+

Average cost per session

$150

Therapists in 60914 who prioritize treating:

100% Anxiety
94% Depression
78% Trauma and PTSD
72% Grief
66% Bipolar Disorder
66% Self Esteem
65% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

97% BlueCross and BlueShield
84% Aetna
79% Cigna and Evernorth

How Therapists in 60914 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 60914?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.